Source · Prevention of Future Deaths

Christopher Murfet

Ref: 2020-0273 Date: 6 Nov 2020 Coroner: Paul Cooper Area: Lincolnshire Responses identified: 1 / 1 View PDF

Procedures for considering sectioning the deceased under the Mental Health Act were unclear or potentially absent, despite a risk of suicide.

Date 6 Nov 2020
56-day deadline 2 Mar 2021 est.
Responses identified 1 of 1
Suicide (from 2015)

Coroner's concerns

AI summary
Procedures for considering sectioning the deceased under the Mental Health Act were unclear or potentially absent, despite a risk of suicide.
View full coroner's concerns
Paul COOPER HM Assistant Coroner County of Lincolnshire Were procedures in place to give consideration to the deceased being sectioned under The Mental Health Act and if not why not as he committed suicide on 29th December 2019.

Responses

1 respondent
United Lincolnshire Hospitals NHS Trust NHS / Health Body
19 Jan 2021 PDF
Noted

The Consultant and Clinical Lead for A&E reviewed Mr Murfet's previous attendances at Pilgrim Hospital A&E Department and stated that on both occasions, Mr Murfet was seen and referred to the appropriate psychiatric service from the A&E Department; and subsequently discharged by them. (AI summary)

View full response
Dear Mr Cooper Reference: Regulation 28 Report in relation to Mr Christopher Murfet am writing in relation to the Regulation 28 report to prevent future deaths that you issued on 6 November 2020 following the inquest held into the death of Mr Murfet on 20 October 2020. In your report; you outlined one area of concern that you wished the Trust to respond to and this is set out below 1 Were procedures in place to give consideration to the deceased being sectioned under the Mental Health Act and if not why not as he committed suicide on 29 December 2019. Consultant and Clinical Lead for A&E has reviewed Mr Murfet's two previous attendances at Pilgrim Hospital A&E Department on 28 November 2019 and 7 December 2019. On both of these occasions, Christopher was seen and referred to the appropriate psychiatric service from the A&E Department; and subsequently discharged by them: As such we had no reason to use the Mental Health Act to detain him as on both occasions he was willing to engage in the informal assessment process was very saddened to learn of Mr Murfet's death and please pass on my condolences to his family. hope that this letter provides assurance that the Trust has responded to your concerns and gives a satisfactory response.

Report sections

Investigation and inquest
On 09/01/2020 I commenced an investigation into the death of Christopher Allan MURFET, aged
31. The investigation concluded at the end of the inquest on 20/10/2020. The conclusion of the inquest was that Christopher Allan MURFET died as a result of Suicide, the medical cause of death being: 1a. Hanging (suspension by ligature around the neck) 1b. 1c.
2.
Circumstances of the death
1. On 17th October 2019 the deceased presented at Peterborough Hospital after he had self-harmed with Stanley knife
2. On 28th November 2019 the deceased presented at A & E at Pilgrim Hospital, Boston after taking a knife to his throat
3. On 7TH December 2019 the deceased presented again at A & E at the Pilgrim Hospital ,Boston after taking 14 antidepressants.

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Report details

Reference
2020-0273
Date of report
6 November 2020
Coroner
Paul Cooper
Coroner area
Lincolnshire

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 2 Mar 2021 (estimated).

Sent to

United Lincolnshire Hospitals Trust

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